Individual
JOSELIO GILES LEGASPI IMPERIAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2838 N HANALEI AVE, FRESNO, CA 93737-0020
(559) 392-5455
Mailing address
2838 N HANALEI AVE, FRESNO, CA 93737-0020
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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